| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $207.24 | $369.29 | $461.62 | |
Hally Health
| Professional | $150.00 | $580.01 | $580.01 | |
Medica
| Facility | $175.85 | $353.40 | $521.48 | |
Medica
| Professional | $190.09 | $1,021.00 | $1,149.42 | |
Midlands
| Facility | $393.00 | $393.00 | $393.00 | |
Midlands
| Professional | $187.39 | $337.55 | $426.16 |